Wellcare Inc

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

NPP184 Issued in RI

Legal business name

WELLCARE INC

Practice address

1524 Atwood Ave
Suite 243
Johnston, RI 02919-3228

Phone

(401) 272-8773

Fax

(401) 272-8770

NPI assigned

May 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Claire Amanda Nadeau, NURSE PRACTITIONERNPI 1225097140

Title

President

Phone

(401) 272-8773

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Claire Amanda Nadeau, FNP

  • Family Nurse Practitioner
  • Johnston, RI
  • NPI 1225097140
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly Mae Bissell, FNP

  • Family Nurse Practitioner
  • Warwick, RI
  • NPI 1861975112

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Sharon Louise Stager, RN MS CS FNP

  • Family Nurse Practitioner
  • Johnston, RI
  • NPI 1508818964
  Medicare reassignment Care Compare group NPD
• Susan M Bordonaro, DCNP

  • Nurse Practitioner
  • Middletown, RI
  • NPI 1366547358
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235182783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 243",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-272-8773",
            "fax_number": "401-272-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 243",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-272-8773",
            "fax_number": "401-272-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NADEAU",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-272-8773",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "RI",
            "license": "NPP184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WC44529",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #03899)
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• Jonathan T Walker, MSPT
• Steven Wasilewski, MASTERS
• Kilah Waters, MASTERS
• West Bay Residential Services Inc
• West Bay Residential Services Inc
• West Bay Residential Services Inc
• Ni'Cole Whalen, MT
• Laura White, LCDP

• Women's Health Nurse Practitioner in Johnston, RI
• Providers in Johnston, RI by specialty
• Women's Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.